Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $72.62 / $281.04	Facility		$72.62	$72.62	$281.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $83.43 / $114.34	Professional		$72.20	$83.43	$114.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $176.45 / $176.45	Professional		$134.35	$176.45	$176.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $188.78	Facility		$121.82	$121.82	$188.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $165.31	Professional		$88.93	$88.93	$165.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.68 / $188.78 / $358.68	Professional		$173.68	$188.78	$358.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.99 / $578.99 / $578.99	Facility		$578.99	$578.99	$578.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $72.62 / $281.04	Facility		$72.62	$72.62	$281.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $84.98 / $125.12	Professional		$72.20	$84.98	$125.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $261.14 / $371.90	Professional		$127.80	$261.14	$371.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $188.78	Facility		$121.82	$121.82	$188.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $218.25	Professional		$88.93	$88.93	$218.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $167.94 / $167.94	Facility		$126.15	$167.94	$167.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $167.94 / $179.69	Professional		$126.15	$167.94	$179.69
United Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $88.91 / $159.12	Professional		$72.86	$88.91	$159.12